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v3.25.3

Acquisitions, Disposals and Deconsolidations (Details) $ in Millions | 9 Months Ended |
--- | --- | ---
Sep. 30, 2025 USD ($) surgical_facility physician_practice | Sep. 30, 2024 USD ($) surgical_facility | Dec. 31, 2024 USD ($)
Business Combination [Line Items] |  |  |
Total cash consideration, net of cash acquired | $ 52.6 | $ 291.2 |
Goodwill and other intangible assets, net | 5,091.6 |  | $ 5,068.0
Proceeds from disposals of facilities and other assets | 42.9 | 1.5 |
Proceeds from sales of equity investments | $ 0.0 | 4.0 |
Loss on sale of equity method investment |  | $ 10.0 |
Disposed of by Sale | Surgical Facility With a Retained Interest |  |  |
Business Combination [Line Items] |  |  |
Number of interests sold | surgical_facility | 1 | 1 |
Proceeds from disposals of facilities and other assets | $ 0.5 | $ 2.5 |
Pre-tax gain (loss) on disposal | $ (2.7) | $ 2.7 |
Disposed of by Sale | Surgical Facility |  |  |
Business Combination [Line Items] |  |  |
Number of interests sold | surgical_facility | 2 | 1 |
Proceeds from disposals of facilities and other assets | $ 42.4 |  |
Pre-tax gain (loss) on disposal | 6.0 | $ (3.4) |
Disposed of by Sale | Surgical Facility, Equity Method Investment |  |  |
Business Combination [Line Items] |  |  |
Number of interests sold | surgical_facility |  | 1 |
Proceeds from sales of equity investments |  | $ 2.0 |
Loss on sale of equity method investment |  | $ 3.7 |
Surgical Facilities and Physician Practices |  |  |
Business Combination [Line Items] |  |  |
Number of business entities acquired | surgical_facility |  | 6 |
Total cash consideration, net of cash acquired | 52.6 | $ 291.2 |
Noncash consideration | 2.3 | 1.1 |
Recognized non-controlling interests | 28.6 | 293.2 |
Goodwill and other intangible assets, net | $ 78.6 | 506.7 |
Investments and advances to affiliates |  | $ 44.6 |
Surgical Facilities |  |  |
Business Combination [Line Items] |  |  |
Number of business entities acquired | surgical_facility | 4 |  |
Total cash consideration, net of cash acquired | $ 13.4 |  |
Number of acquired non-controlling interests | surgical_facility | 3 |  |
Physician Practices |  |  |
Business Combination [Line Items] |  |  |
Number of business entities acquired | physician_practice | 5 |  |

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